怀孕妇女的疫苗犹:一个叙事审查
Stephanie L Mitchell1, Jay Schulkin2, Michael L Power1
1Center for Species Survival, Smithsonian National Zoological Park and Conservation Biology Institute, Washington, DC, USA.
Vaccine
|June 8, 2023
概括
怀孕妇女对接种疫苗的犹源于对副作用的恐惧和低风险的感知. 了解这些动态问题是改善疫苗接受和孕产妇健康结果的关键.
科学领域:
- 产科和妇科 产科和妇科
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 孕妇面临严重疾病和死亡的高风险,这些疾病是可以通过疫苗预防的.
- 不良的妊娠结果,包括流产,早产和胎儿缺陷,与这些感染有关.
- 尽管有医疗机构的建议,但很大一部分孕妇仍未接种疫苗.
研究的目的:
- 确定导致孕妇对疫苗的犹的主要问题.
- 评估信息来源和输送方法对疫苗接受的影响.
- 探索改善提供者-患者沟通和疫苗接种的框架.
主要方法:
- 这篇叙事综述综合了有关怀孕期间疫苗犹现有文献.
- 它检查了影响决策的因素,包括关注点,信息来源和教育方法.
- 该审查提出了一个患者分类框架,以加强沟通.
主要成果:
- 犹的主要原因包括对副作用的恐惧,对疫苗安全性的缺乏信心,以及低估怀孕期间感染风险.
- 疫苗信息的来源和交付对孕妇的决定产生重大影响.
- 疫苗犹是一个动态的,多因素的问题,而不是静态的立场.
结论:
- 解决疫苗犹需要一个细微的方法,承认其动态性质.
- 一个对犹程度进行分类的框架可以帮助提供者进行定制的沟通.
- 改善疫苗教育和沟通策略对于加强孕产妇和公共卫生至关重要.
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